Community/Behavioral Health
PROVIDENCE HEALTH & SERVICES WASHINGTON
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1477563344 · enumerated 2006-08-09 · record updated 2026-06-30. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mr. DONALD ANDERSON, ASSISTANT SECRETARY OF ENROLLMENTS · (425) 358-9786
Other names: PROVIDENCE KODIAK ISLAND COUNSELING CENTER
Addresses and phones
- Practice location 1818 E REZANOF DR, KODIAK, AK, 99615-6505 (907) 481-2400 Fax (907) 481-2419 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 31001-4162, PASADENA, CA, 91110-4162 (907) 486-9500 Google Maps Apple Maps OpenStreetMap
Specialties
- Psychiatry & Neurology, Psychiatry 2084P0800X · License 297340 AK
- Case Manager/Care Coordinator 171M00000X · License 297340 AK
- Counselor, Addiction (Substance Use Disorder) 101YA0400X · License 297340 AK
- Social Worker, Clinical 1041C0700X · License 297340 AK
- Community/Behavioral Health 251S00000X · Primary · License 297340 AK
In this directory
Locations and evidence
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Practice location
KODIAK, AK, 996156505
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.